Payment Options
The Time You Need, the Holistic Care You Deserve.
Hirsch Holistic Family Medicine is modeled after a growing trend of solo private practitioners that are attempting to recapture traditional values of the doctor patient relationship in our ailing medical system. Most medical practices stay financially viable by trying to see as many patients as possible as efficiently as possible. They employ many people to assist the physician to absorb the office workload so the physician can focus on seeing patients. Typical physician schedules allow 10 to 15 minutes of actual physician time per visit. While this model of medical practice may thrive financially, it does so at a very high price. Practice overhead costs sometimes reach greater than 70% of practice income. Patients are often dissatisfied with the quality of care they receive. Doctors are often frustrated with the restrictions this model puts on the doctor-patient relationship.
Hirsch Holistic Family Medicine is a practice designed to enhance the doctor-patient relationship by providing personalized, hands on, accessible and affordable health care, within the parameters of the current medical system. We provide long appointments to care for our patients as individuals and to give ample time for our providers to figure out how to optimize patient health and well-being.
We currently offer three different payment options
Membership Program ($75-150/month pays for unrestricted access)
The Membership Program is designed for patients with a high deductible insurance plan, those without insurance or anyone who want unrestricted access to us and our unique expertise. Monthly pricing is dependent on the patient’s age and the provider selected; see the New Patient tab for more details.
- No one between you and your care (no insurance).
- $100-150/month per adult pays for unrestricted access. (cost dependent on provider)
- $75-100/month per child (cost dependent on provider)
- Minimum expected commitment is 6 months.
- A $100 enrollment fee applies when starting or re-starting care.
- 5% discount when paid annually before March 1st.
- No penalties for pre-existing conditions
- Privacy. No one gets to see your records unless you have given permission (unlike insurance coverage)
The Membership Program Fee covers your primary care services, including:
- Expertise in Integrative, Holistic and Functional Medicine
- Appointments that are long and relaxed
- Phone and email access 24/7
- Online appointment scheduling 24/7
- Coordination of care with specialists
- Newsletter and email updates
- Review of old charts, chart copies and laboratory reviews
- Access to supplements on site
- Access to specialty laboratory test kits
- Individualized treatment strategies
- Personalized research and health information
- Urgent same day or next day appointment availability
- Skype visits (in Washington state) and Phone visits
- Comprehensive annual exams
- Preventive Care/Risk factor assessment
- Injections (B12, scar)
- Procedures such as Well Woman Exams or Skin Biopsies (does not cover pathology reports)
- Comprehensive, face to face time, with a written health summary provided at the end of each visit
The Membership Fee does not cover:
- Laboratory fees (though discounts are available)
- Radiology fees
- Hospital or other doctor’s fees
- Supplements or medical equipment
- Any other procedures or fees from services not performed by our primary care doctors
- Non-primary care add-on services:
- Acupuncture ($25)
- Prick Test for inhaled allergies ($25)
Questions? Please read the FAQs
Cash, Check, Debit and Credit Cards accepted.
- Please note that we are not offering insurance, nor are we an insurance broker. We encourage all patients to contact your health insurance companies when you have questions regarding coverage. Our office does not verify any benefits and does not guarantee reimbursements.
- We will not charge you anything more than the membership fee for our primary care services and we will never submit a bill to your insurance company.
- Unfortunately, Medicare patients are not able to participate in our Membership Program.
- When seeing our ancillary service providers (Functional Nutrition and Health Coaching), you are required to have a separate Program Agreement with each provider.
Insurance Program (Insurance + Fee for Non-Covered Services)
- We file insurance claims on your behalf
- Individuals pay $20/month ($240/year) for services not covered by your insurance
- Families pay $40/month ($480/year), e.g. 2 adults and their children
- 5% discount when paid annually before March 1st
In order to keep the practice sustainable, HHFM charges all patients utilizing their insurance a $20/month Fee for Non-Covered Services. Families pay $40/month. Monthly or quarterly payments must be setup on auto-pay. This fee pays for all the services that are not covered by insurance (that you don’t get in traditional practices). The fee is optional for Medicare and Medicaid patients. For those with financial hardships, a sliding scale is available.
This Fee for Non-Covered Services is due to rising costs and decreasing reimbursement and is in lieu of changing entirely to an all membership or cash practice model.
What does this fee cover?
- Expertise in Integrative, Holistic and Functional Medicine
- Phone and email access 24/7
- Online appointment scheduling 24/7
- Newsletter and email updates
- Access to supplements on site
- Access to specialty laboratory test kits on site
- Urgent same day or next day appointment availability
Please pay this fee at your new patient visit. This Fee for Non-Covered Services and non-medical services will not be reimbursed by your health plan, although you may be able to use funds from a Medical Flexible Spending Account or Health Savings Account to pay for it (Please check with your plan administrator). In addition, you are responsible for all deductible, co-pays and co-insurance. Credit card or bank authorization forms are required to have on file to cover any outstanding balances.
We accept the following insurances:
| Lifewise | Regence (NOT SELECTIONS) | Uniform |
| Premera | Blue Cross/Blue Shield | First Choice (NOT KPS) |
| Medicare accepted for a limited time | ||
We are not contracted with Tricare Prime or Group Health.
'Pay as you go' (Cash at time of service)
We also accept cash at time of service. Pricing is dependent on provider and available on the New Patients tab under each specific provider.
